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dc.contributor.authorMartinsen, Metteen_US
dc.contributor.authorValland, Haldoren_US
dc.contributor.authorSolheim, Ludvig Fjelden_US
dc.contributor.authorHolvik, Kristinen_US
dc.contributor.authorRanhoff, Anette Hylenen_US
dc.date.accessioned2017-04-28T13:05:35Z
dc.date.available2017-04-28T13:05:35Z
dc.date.issued2016-02-09
dc.PublishedMartinsen M, Valland H, Solheim Lf, Holvik K, Ranhoff AH. A restrictive policy for red blood cell transfusion in older hip fracture patients: experiences from a patient register. BMC Research Notes. 2016;9:75eng
dc.identifier.issn1756-0500
dc.identifier.urihttps://hdl.handle.net/1956/15759
dc.description.abstractBackground: Allogeneic red blood cell transfusions (ABT) are common in older hip fracture patients. Recent research supports a restrictive transfusion policy. The aim was to study variation in hemoglobin (Hb) concentration, and clinical outcomes in these patients. Results: Cross-sectional study with one-year follow-up in an orthogeriatric unit. Data were obtained from a quality register with demographic and medical information collected by an interdisciplinary team. 106 (22 %) of the 491 patients admitted from September 2011 throughout September 2012 (76 % women, mean age 85 years) received ABT. When given ABT, 80 % had Hb <80 g/l and mean Hb was 78 g/l. Mean Hb, regardless ABT, showed variation from 125 g/l (±16) on admission to 106 g/l (±17), 101 g/l (±16) and 102 g/l (±14) on 1st, 3rd and 5th postoperative day respectively. Patients with per-/subtrochanteric fractures more often received ABT than those with femur neck fractures (p < 0.001), 70 % of the patients receiving ABT had a per-/subtrochanteric fracture. Patients who received ABT were older, had more chronic diseases and lower mean Hb throughout the hospital stay. Length of stay was longer (median 7 vs. 6 days, p = 0.01), and medical complications more common. In-hospital and 30-day mortalities were similar in patients given ABT and in those who were not, but 1-year mortality was higher among patients who were given ABT (p = 0.008). Conclusions: Hb had a tendency to fall during the three first days after surgery and seemed to be stabilized on day 5. Patients who received ABT had poorer health, but not significantly higher short-term mortality. This study demonstrates a restrictive transfusion policyen_US
dc.language.isoengeng
dc.publisherBioMed Centraleng
dc.relation.urihttp://bmcresnotes.biomedcentral.com/articles/10.1186/s13104-016-1885-x
dc.rightsAttribution CC BYeng
dc.rights.urihttp://creativecommons.org/licenses/by/4.0eng
dc.subjectHip fractureeng
dc.subjectHemoglobin concentrationeng
dc.subjectBlood transfusioneng
dc.titleA restrictive policy for red blood cell transfusion in older hip fracture patients: experiences from a patient registeren_US
dc.typePeer reviewed
dc.typeJournal article
dc.date.updated2017-02-07T10:02:04Z
dc.description.versionpublishedVersionen_US
dc.rights.holderCopyright 2016 The Author(s)
dc.identifier.doihttps://doi.org/10.1186/s13104-016-1885-x
dc.identifier.cristin1335098
dc.source.journalBMC Research Notes


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